Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Experiencia de personas con Alzheimer en fases leves y moderadas en EspañaA experiência de pessoas com Alzheimer na Espanha nas fases leve e moderadaObjective: To analyze the meaning of dementia by those affected by it, and to give them a voice.Material and methods: Descriptive phenomenology through interviews with people of both genders who are over 50 years old and living in Tarragona (Spain), with a diagnosis of mild or moderate dementia, mainly related to Alzheimer’s disease.Results: Three main themes emerged: 1) normalization of memory loss in early stages as part of the natural aging process; 2) self-awareness of progressive memory decline, which is concealed from others, and 3) adaptation processes and strategies to coexist with their condition after diagnosis.Conclusions: The most evident features were the lack of specialized infrastructures within the health system in terms of care, prevention programs, and early detection.Para citar este artículo / To reference this article / Para citar este artigoRiquelme-Galindo JR, García-Sanjuán S, Lillo-Crespo M, Martorell-Poveda MA. Experience of People in Mild and Moderate Stages of Alzheimer's Disease in Spain Aquichan. 2020;20(4):e2044. DOI: https://doi.org/10.5294/aqui.2020.20.4.4Recibido: 05/04/2020Aceptado: 24/08/2020Publicado: 04/12/2020

Tempos de crise, tempos de oportunidadeTiempos de crisis, tiempos de oportunidadesVivimos tiempos complejos de grandes riesgos e incertidumbres, pero también de oportunidades. Las sociedades abiertas han desarrollado nuevos estilos de vida que, a su vez, generan nuevos problemas de salud, la mayoría de ellos de etiología sociocultural. El aumento de las movilizaciones humanas y de la diversidad cultural requiere de todos a aprender a vivir en la diferencia. Destaquemos, también, que los pacientes están cambiando y reclaman un papel más activo. En este contexto, la Enfermería tiene delante retos y desafíos importantes. Resaltaría, entre todos, la necesidad de un cambio en la relación enfermera-paciente. De cara al cuidado de los pacientes inmigrantes, neutralizar la barrera de los prejuicios, así como superar el tradicional paternalismo hacia el paciente. Finalmente, es necesario un giro epistemológico para situar en primer plano los problemas de salud de origen sociocultural, actualmente relegados y subordinados por la biomedicina. La Enfermería tiene en frente la gran oportunidad de liderar este cambio.Para citar este editorial / To reference this editorial / Para citar este editorialMoreno M. Crisis times, times of opportunity. Aquichan. 2020;20(2): e2021. DOI: https://doi.org/10.5294/aqui.2020.20.2.1Publicado: 30/06/2020

Lecciones que deja la pandemia por Covid-19Lições que a pandemia da COVID-19 deixaThe narrow view and meager resources of health systems in Latin America and the Caribbean have not allowed dealing with the new SARS-CoV-2 pandemic adequately, with few honorable exceptions. The emphasis on curative systems, in terms of both infrastructure and human and financial resources, to the detriment of primary health care (PHC) is a blatant example of this historical shortsightedness. Besides the absence of sufficient, governance-skilled nurses, this circumstance reduces the possibility of controlling a pandemic that, while unknown, already had the necessary background for each country to tackle it using disease prevention and health promotion in vulnerable populations. Therefore, the depicted scenario has been conducive to the spread of the pandemic and the consequent impact on the health, social, economic, and political systems of Latin American countries.Para citar este editorial / To reference this editorial / Para citar este editorialSanhueza-Alvarado O. Lessons from the COVID-19 Pandemic. Aquichan. 2020;20(3):243-245. DOI: https://doi.org/10.5294/aqui.2020.20.3.1Publicado: 07/09/2020

Complicaciones cardíacas en pacientes con covid-19: revisión integrativa de la literaturaComplicações cardíacas em pacientes com covid-19: revisão integrativa da literaturaObjective: To verify, based on the literature, what the main cardiac complications are in patients with COVID-19, during treatment in a hospital unit.Materials and methods: An integrative review, carried out by searching for studies in eight national and international databases. The final sample consisted of 16 studies published between January and May 2020, which were subjected to structural evaluation by the following instruments: Case Report Guidelines, for case reports; and Strengthening the Reporting of Observational Studies in Epidemiology, for observational studies.Results: The main cardiac complications were predominantly obstructive events, herein understood as acute myocardial infarction, followed by severe arrhythmic conditions and heart failure, all due to the hyperinflammation condition resulting from viral infection.Conclusions: The knowledge about cardiac complications during COVID-19 treatment has become important, since it can collaborate for the adoption of more effective treatment protocols and guide the assistance offered by health professionals, in order to identify such complications and intervene early.To reference this article / Para citar este artigo / Para citar este artículoMaier SRO, Rodrigues JPF, Sudré MRS, Dessotte CAM. Cardiac Complications in Patients with COVID-19: An Integrative Literature Review. Aquichan. 2020;20(4):e2043. DOI: https://doi.org/10.5294/aqui.2020.20.4.3Recibido: 18/08/2020Aceptado: 25/09/2020Publicado: 04/12/2020

Repercusiones de la pandemia de la covid-19 desde la perspectiva de los niñosRepercussões da pandemia da covid-19 na perspectiva das criançasObjective: To understand the repercussions of Coronavirus Disease 19 (COVID-19) from the perspective of schoolchildren.Materials and method: A qualitative study, of the participant action type, based on Paulo Freire’s theoretical and methodological precepts. The participants were 10 children living in the coastal area of Santa Catarina, Brazil, from a virtual culture circle held in July 2020. An analogy was made with the colored pencil to go through the stages of the research itinerary.Results: Two generative themes emerged for discussion: the good things of the COVID-19 pandemic and the “cannots” of the pandemic. In the first theme, they highlighted more time with the family and strengthening family ties, proximity to pets, and self-care. In the second, they pointed out the impossibility of playing with friends, celebrating birthdays and hugging people.Conclusions: The children identified positive and negative points experienced during the pandemic and unveiled the challenges of transforming moments of social isolation into spaces of family proximity, although restricted to their homes.To reference this article / Para citar este artigo / Para citar este artículoSouza JB, Potrich T, Brum CN, Heidemann ITSB, Zuge SS, Lago AL. Repercussions of the COVID-19 pandemic from the childrens’ perspective. Aquichan. 2020;20(4):e2042. DOI: https://doi.org/10.5294/aqui.2020.20.4.2Recibido: 24/08/2020Aceptado: 23/10/2020Publicado: 04/12/2020

Desafíos para la salud colectiva en el cuidado con personas, familias y comunidades, vulnerables socialmente, frente a la pandemiaDesafios para a saúde coletiva no cuidado de pessoas, famílias e comunidades vulneráveis socialmente durante a pandemiaIn times of a pandemic, this reflection conceives two enormous challenges for nursing in collective health. Politically, the challenge is to vindicate and recognize care as a creative and transformative action taken by individuals, families, and communities in territories to sustain life and mitigate human suffering through health promotion, disease prevention, and care. Ethically, the task is to clearly understand safe, supportive, and sustainable actions to strengthen equity and ethos of caring as a project-oriented to welfare, compassion, and the defense of the right to health.To reference this editorial / Para citar este editorial / Para citar este editorialGaviria-Noreña DL. Challenges for Collective Health in Caring for Socially Vulnerable Individuals, Families, and Communities amidst the Pandemic. Aquichan. 2020;20(4): e2041. DOI: https://doi.org/10.5294/aqui.2020.20.4.1Publicado: 04/12/2020

Fundamento: la infertilidad adquiere cada día mayor auge en las sociedades desarrolladas, la misma se define como la incapacidad para procrear después de un año de vida sexual activa no protegida por algún tipo de contracepción, el hipotiroidismo que se define como la hiposecreción de hormonas por la glándula tiroides se relaciona con problemas ovulatorios, de implantación, infertilidad abortos y complicaciones durante el embarazo. Objetivo: identificar la presencia de hipotiroidismo subclínico en mujeres con infertilidad. Métodos: se realizó un estudio transversal y descriptivo en pacientes atendidas en el servicio de reproducción asistida de la provincia Pinar del Río, desde el 1ro enero de 2017 hasta el 30 junio de 2019. Los datos se obtuvieron de las historias clínicas. Para el análisis de la información se utilizó el sistema estadístico SPSS (versión 22.0), se confeccionó una base de datos en Excel 2010, se aplicó análisis univariado de carácter descriptivo, se utilizaron estadígrafos descriptivos como la distribución de frecuencias absoluta y relativa. Se utilizaron las pruebas T de Student para datos cuantitativos y Chi cuadrado para datos cualitativos, ambas con un nivel de significancia del 95 % (p < 0,05). Resultados: la mayor parte de las mujeres tenían infertilidad secundaria. El hipotiroidismo subclínico resultó más frecuente en la infertilidad secundaria. Los valores medios de hormona estimulante de la tiroides resultaron mayores en mujeres con infertilidad primaria, quienes presentaron de manera significativa niveles menores de triyodotironina en suero, la mitad tuvo un tiempo de infertilidad entre dos y cinco años. Predominó el sobrepeso. Conclusiones: se encontró mayor prevalencia de hipotiroidismo subclínico entre las mujeres con infertilidad secundaria. DeCS: INFERTILIDAD FEMENINA/etiología; INFERTILIDAD FEMENINA/epidemiología; HIPOTIROIDISMO/epidemiología; SOBREPESO; ESTUDIO OBSERVACIONAL.

Background: Helicobacter pylori is one of the most prevalent bacteria in the world. In the pediatric population, the prevalence varies from 10 to 80 %. In recent years, the effectiveness of treatment schemes has been compromised and a complex scenario has been drawn up for the implementation of eradication treatments. Objective: to deepen and update the most important aspects of helicobacter pylori infection in children. Methods: the search for the information was made over a period of four months (November 2018 to March 2019) and the words: Helicobacter pylori in children, diagnostic methods, current treatments, coccoides were used. Of 138 articles in the PubMed, Hinari, SciELO and LILACS databases through the EndNote search manager and reference manager, 53 citations were used to perform the review, of which 40 were from the last five years, four meta-analysis studies and four multicenter studies. Results: epidemiological and clinical characteristics, the advantages and disadvantages of the different diagnostic methods and based on the revision of this topic are proposed, modifications are proposed in the treatment schemes taking into account variables dependent on the bacteria and the individual. Conclusions: this review provides an update of the infection in children, as well as updated treatment schedules. DeCS: HELICOBACTER INFECTIONS/diagnosis; HELICOBACTER INFECTIONS/therapy; HELICOBACTER INFECTIONS/epidemiology; DRUG ADMINISTRATION SCHEDULE; CHILD.

Background: the improvement of the health scientific potential represents a goal that implies determination and commitment of all actors. Objective: to develop strategic actions to improve the researchers’ category processat the Matanzas University of Medical Sciences. Methods: a quasi-experimental study of intervention in the area of Science and Technological Innovation was carried out, 2009-2019 period. The study population consists of 230 professionals with research category. Selected variables: researchers categorized by year, profession and scientific categories. The process of scientific ranks appointments was assessed byanalyzing weaknesses, threats, strengths and opportunities. A strategy was carried out supported by objectives, actions and measuring criteria; the strategy was implemented and evaluated by comparing results of the year 2019 with those of the 2015-2018 period. Results: the highest percentage of researchers with categories corresponded to medical professionals and secondary care institutions. There were difficulties detected in the process performance. Actions were focused on the identification of professionals, integration with doctoral training and the dissemination of scientific information. There were documented improvement areas in the highest ranks as well asfutureissues to work on. Conclusions: the identification of inadequacies in the university research categorization process was a starting point to strategically project actions and implement them to reverse this situation, based on process improvement processand hence, it allowed the validation of its relevance under a necessary continuous improvement approach in Science and Technological Innovation System of Matanzas University of Medical Sciences. DeCS: TEACHER TRAINING/methods; CERTIFICATION; PROFESSIONAL TRAINING; RESEARCHER PERFORMANCE EVALUATION SYSTEMS; FACULTY/education.

Background: the Buschke-Löwenstein tumor is a giant acuminate condyloma larger than 10 cm, more frequent in men, so the treatment of choice must always be surgical. Objective: to describe a case of giant acuminate condylomata. Case report: 54-year-old white male patient, who came with papillomatosis formations with soft and moist consistency of cauliflower, in both inguinal regions; on the right side of 13 centimeters in diameter and 19 centimeters on the left and at the root of the penis and perianal region of 2 centimeters, associated with pain of slight intensity in the lower limbs and occasional fetidity. Preoperative studies including non-reactive serology and HIV were performed. He underwent surgery, performing excision and closure with abdominal skin flap. He evolved clinically stable, although he presented an infection of the surgical wound where Escherichia Coli, gentamicin sensitive, was reported; he complied with treatment and left without further complications. Conclusions: Buschke-Löwenstein tumor is currently considered as a form of verrucous carcinoma, it does not present cellular atypia, described as benign, but one third of the cases can be maligne. Despite frequent recurrences, some authors consider it as a malignant tumor. Despite the existence of several treatments, the surgical treatment is the one with the best results. DeCS: BUSCHKE-LOWENSTEIN TUMOR; CONDYLOMATA ACUMINAT/surgery; CARCINOMA, VERRUCOUS/surgery; CASE REPORTS; MEN.